TAMAROA S D #5 (NPI# 1275703191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275703191 |
Entity Type | Organization |
Organization Name | TAMAROA S D #5 |
Other Organization Name | TAMAROA SCHOOL DISTRICT 5 |
Practice Address |
200 West Main Steet Tamaroa IL 62888 |
Mailing Address |
200 West Main Street Po Box 175 Tamaroa IL 62888-0175 |
Practice Telephone | 6184965513 |
Practice Fax Number | 6184963911 |
Mailing Telephone | 6184965513 |
Mailing Fax Number | 6184963911 |
Enumeration Date | 2008-03-06 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MRS. RHONDA C FLEMING (SECRETARY) |
Authorized Official Telephone | 6184965513 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Tamaroa School District 5 | Doing Business As Name - Organization |
Street Address |
200 WEST MAIN STEET |
City | TAMAROA |
State | IL |
Zip Code | 62888 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669597084 | Tamaroa School Dist 5 | Clinic/Center | 200 W Main, Tamaroa, IL 62888-0175 | 2007-03-21 |
1609911312 | Rebecca Jean Costello | Physical Therapy Assistant | 4935 Crossbill Rd, Tamaroa, IL 62888-2224 | 2007-02-20 |
1760900609 | Ali Renee Epplin | Speech-Language Pathologist | 200 W Main St, Tamaroa, IL 62888-4312 | 2017-08-30 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669597084 | Tamaroa School Dist 5 | Clinic/Center | 200 W Main, Tamaroa, IL 62888-0175 | 2007-03-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.